Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669961173 Individual Practitioner Male Practitioner

Dr. Aziz Roman Susarrey , DMD

Dentist - General Practice • North Riverside, IL

Professional Overview & Biography Verified Profile Summary

Dr. Aziz Susarrey, DMD is a registered healthcare professional specializing in Dentist - General Practice in North Riverside, IL. Practice services are available at 7345 W 25TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7345 W 25th St

North Riverside, IL 605461409

Telephone 7084470900
Associated Practice Facility / Clinic
🏢 Premier Dental Clinc, Llc Facility NPI 1811168800

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in North Riverside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
11 Specialists

Practicing in North Riverside, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032169

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

567 W 14th St

Chicago Heights, IL 604112323

Phone: 2837089800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Mindy Chui

Dentist

NPI 1174273015
NPI 1225386782

Doctor of Dental Surgery

NPI 1336063148
NPI 1427431832

Doctor of Dental Surgery

Ryan Nemeh

Dentist - General Practice

NPI 1538906128
Dr. Fatima Moeen , DMD

Dentist - General Practice

NPI 1689591786

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 06, 2024

Registered at 7345 W 25TH ST, NORTH RIVERSIDE, IL 605461409 (Tel: 7084470900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Dentist (License #019.032169 in IL)

📍
Updated Practice Location June 29, 2018

Registered at 1210 MILLERSVILLE PIKE, LANCASTER, PA 17603 (Tel: 4524312274)

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as AZIZ SUSARREY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Dentist (License #DS041785 in PA)

NPI Profile Active May 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2018

Registered at 1210 MILLERSVILLE PIKE, LANCASTER, PA 176036656 (Tel: 4524312274)

📍
Updated Business Mailing Address May 10, 2018

Registered at 350 N CLARK ST FL 6, CHICAGO, IL 606544712 (Tel: 3122744524)

👤
Provider Name / Credentials Updated May 10, 2018

Recorded as AZIZ SUSARREY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669961173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2018
Last Update: May 06, 2024
Sole Proprietor: No

Mailing Address

350 N Clark St Fl 6

Chicago, IL 606544712

Phone: 3122744524

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.